Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan

Tzu-Lin Yeh,1,2 Hsin-Hao Chen,1 Hsiao-Hui Chiu,3 Yu-Hua Chiu,4 Lee-Ching Hwang,5,6 Shang-Liang Wu7 1Department of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu City, Taiwan; 2Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei,...

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Autores principales:	Yeh TL, Chen HH, Chiu HH, Chiu YH, Hwang LC, Wu SL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Prevalence incidence obesity overweight health personnel body mass index Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/8aa97f5c27e04787b83f232a0981e5f7
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spelling	oai:doaj.org-article:8aa97f5c27e04787b83f232a0981e5f72021-12-02T08:32:20ZMorbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan1178-7007https://doaj.org/article/8aa97f5c27e04787b83f232a0981e5f72019-03-01T00:00:00Zhttps://www.dovepress.com/morbidity-associated-with-overweight-and-obesity-in-health-personnel-a-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Tzu-Lin Yeh,1,2 Hsin-Hao Chen,1 Hsiao-Hui Chiu,3 Yu-Hua Chiu,4 Lee-Ching Hwang,5,6 Shang-Liang Wu7 1Department of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu City, Taiwan; 2Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; 3Department of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan; 4Occupational Safety and Health Office, Taipei Veterans General Hospital, Taipei City, Taiwan; 5Department of Family Medicine, MacKay Memorial Hospital, Taipei, Taiwan; 6Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; 7School of Medicine, Griffith University, Gold Coast Campus, QLD, Australia Purpose: To investigate morbidity associated with overweight and obesity in health personnel and compare the differences among work roles.Materials and methods: This retrospective cohort study examined measurements obtained during employee medical checkups between 2007 and 2016 in a Taiwan medical center. BMI was used to define overweight (≥24 and <27 kg/m2) and obesity (≥27 kg/m2). Morbidity refers to prevalence, period incidence proportion, and incidence rate. Multivariable Cox model was used to estimate the HRs and 95% CI of the incidence proportion across work roles. Results: Ten thousand six hundred fifty-one health personnel with 24,295 BMI measurements were recruited. Mean age was 33.4±10.7 years and 72.4% was female. In total, 1,992 (8.2%) health personnel were underweight, 13,568 (55.8%) had a normal BMI, 5,097 (21%) were overweight, and 3,638 (15%) were obese. Five thousand nine hundred one health personnel with 31,172 different interval-year arrangement combinations were obtained. The incidence proportion of overweight and obesity was 1,947 (6.2%) and 1,494 (4.8%), respectively. The incidence rate was 37/1,000 and 15/1,000 person-years, respectively. Compared with that in supporting staff, the HR of overweight in doctors, nurses, and allied health professionals was 0.93 (95% CI =0.73–1.18, P=0.553), 0.92 (95% CI =0.73–1.16, P=0.491), and 0.85 (95% CI =0.67–1.09, P=0.202), respectively. Similarly, the HR of obesity was 0.86 (95% CI =0.66–1.14, P=0.301), 0.89 (95% CI =0.67–1.18, P=0.430), and 0.84 (95% CI =0.63–1.13, P=0.248), respectively.Conclusion: In health personnel, the prevalence of overweight and obesity was 21% and 15%, respectively. The incidence proportion was 6.2% and 4.8%, respectively. Morbidity across the four health work roles examined was not significantly different. Keywords: prevalence, incidence, obesity, overweight, health personnel, body mass indexYeh TLChen HHChiu HHChiu YHHwang LCWu SLDove Medical PressarticlePrevalenceincidenceobesityoverweighthealth personnelbody mass indexSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 267-274 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Prevalence incidence obesity overweight health personnel body mass index Specialties of internal medicine RC581-951
spellingShingle	Prevalence incidence obesity overweight health personnel body mass index Specialties of internal medicine RC581-951 Yeh TL Chen HH Chiu HH Chiu YH Hwang LC Wu SL Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
description	Tzu-Lin Yeh,1,2 Hsin-Hao Chen,1 Hsiao-Hui Chiu,3 Yu-Hua Chiu,4 Lee-Ching Hwang,5,6 Shang-Liang Wu7 1Department of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu City, Taiwan; 2Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan; 3Department of Nursing, Taipei Veterans General Hospital, Taipei City, Taiwan; 4Occupational Safety and Health Office, Taipei Veterans General Hospital, Taipei City, Taiwan; 5Department of Family Medicine, MacKay Memorial Hospital, Taipei, Taiwan; 6Department of Medicine, MacKay Medical College, New Taipei City, Taiwan; 7School of Medicine, Griffith University, Gold Coast Campus, QLD, Australia Purpose: To investigate morbidity associated with overweight and obesity in health personnel and compare the differences among work roles.Materials and methods: This retrospective cohort study examined measurements obtained during employee medical checkups between 2007 and 2016 in a Taiwan medical center. BMI was used to define overweight (≥24 and <27 kg/m2) and obesity (≥27 kg/m2). Morbidity refers to prevalence, period incidence proportion, and incidence rate. Multivariable Cox model was used to estimate the HRs and 95% CI of the incidence proportion across work roles. Results: Ten thousand six hundred fifty-one health personnel with 24,295 BMI measurements were recruited. Mean age was 33.4±10.7 years and 72.4% was female. In total, 1,992 (8.2%) health personnel were underweight, 13,568 (55.8%) had a normal BMI, 5,097 (21%) were overweight, and 3,638 (15%) were obese. Five thousand nine hundred one health personnel with 31,172 different interval-year arrangement combinations were obtained. The incidence proportion of overweight and obesity was 1,947 (6.2%) and 1,494 (4.8%), respectively. The incidence rate was 37/1,000 and 15/1,000 person-years, respectively. Compared with that in supporting staff, the HR of overweight in doctors, nurses, and allied health professionals was 0.93 (95% CI =0.73–1.18, P=0.553), 0.92 (95% CI =0.73–1.16, P=0.491), and 0.85 (95% CI =0.67–1.09, P=0.202), respectively. Similarly, the HR of obesity was 0.86 (95% CI =0.66–1.14, P=0.301), 0.89 (95% CI =0.67–1.18, P=0.430), and 0.84 (95% CI =0.63–1.13, P=0.248), respectively.Conclusion: In health personnel, the prevalence of overweight and obesity was 21% and 15%, respectively. The incidence proportion was 6.2% and 4.8%, respectively. Morbidity across the four health work roles examined was not significantly different. Keywords: prevalence, incidence, obesity, overweight, health personnel, body mass index
format	article
author	Yeh TL Chen HH Chiu HH Chiu YH Hwang LC Wu SL
author_facet	Yeh TL Chen HH Chiu HH Chiu YH Hwang LC Wu SL
author_sort	Yeh TL
title	Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
title_short	Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
title_full	Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
title_fullStr	Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
title_full_unstemmed	Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan
title_sort	morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in taiwan
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/8aa97f5c27e04787b83f232a0981e5f7
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Morbidity associated with overweight and obesity in health personnel: a 10-year retrospective of hospital-based cohort study in Taiwan

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